Auditor, Revenue Integrity Auditing

Job description

ABOUT THIS POSITION: The Revenue Integrity Auditor has a comprehensive understanding of medical terminology, hospital inpatient and/or outpatient coding, charge capture, CDM, and medical records. WHAT YOU'LL DO: - Validate potential missing charges, coding variances and overcharges using proprietary technology and medical records - Quality control - Analyze revenue leakage - Claims/Charge auditing with ability to professionally communicate findings to client - Analysis and process improvement of hospital charges - Achieve and maintain assigned Client financial performance goals - Assist in prediction enhancements to increase verification rates - Remain current on CPT, ICD, HCPC and modifier coding requirements WHAT YOU'LL NEED: - Knowledge of anatomy, physiology, and medical terminology - Quality control skills - Remain current on CPT, ICD, HCPC and modifier coding requirements ABOUT WAYSTAR: Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle. Waystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client suppor...